Data Element Specifications

Total Page:16

File Type:pdf, Size:1020Kb

Data Element Specifications California CABG Outcomes Reporting Program (CCORP) Data Element Specifications Version 7.1 May 5, 2019 California CABG Outcomes Reporting Program Data Element Specifications Version 7.1, dated May 5, 2019 (1) Medical Record Number: (A) Format: Alphanumeric, length 12 (B) Valid Values: Free text (C) Category: Demographics (D) Definition/Description: Indicate the patient's medical record number at the hospital where surgery occurred. (2) Type of Coronary Artery Bypass Graft (CABG): (A) Format: Numeric, length 1 (B) Valid Values: 1 = Isolated CABG; 3 = CABG + Valve; 4= Other non-isolated CABG (C) Category: Operative (D) Definition/Description: Indicate the type of CABG. (i) Type of CABG should be coded Isolated CABG if none of the procedures listed in this subsection was performed concurrently with the coronary artery bypass surgery. (a) Valve repairs or replacements (b) Operations on structures adjacent to heart valves (papillary muscle, chordae tendineae, traebeculae carneae cordis, annuloplasty, infundibulectomy) (c) Ventriculectomy when diagnosed preoperatively as a rupture, aneurysm or remodeling procedure. Excludes 1) sites intra-operatively diagnosed, 2) patch applications for site oozing discovered during surgery and 3) prophylactic patch applications to reduce chances of future rupture (d) Repair of atrial and ventricular septa, excluding closure of patent foramen ovale (e) Excision of aneurysm of heart (f) Head and neck, intracranial endarterectomy (g) Other open heart surgeries, such as aortic arch repair, pulmonary endarterectomy (h) Endarterectomy of aorta (i) Thoracic endarterectomy (endarterectomy on an artery outside the heart) (j) Carotid endarterectomy (k) Heart transplantation (l) Repair of certain congenital cardiac anomalies, excluding closure of patent foramen ovale (e.g., tetralology of fallot, atrial septal defect (ASD), ventricular septal defect (VSD), valvular abnormality) (m) Any aortic aneurysm repair (abdominal or thoracic) (n) Aorta-subclavian-carotid bypass (o) Aorta-renal bypass (p) Aorta-iliac-femoral bypass Page 2 of 24 California CABG Outcomes Reporting Program Data Element Specifications Version 7.1, dated May 5, 2019 (q) Caval-pulmonary artery anastomosis (r) Extracranial-intracranial (EC-IC) vascular bypass (s) Coronary artery fistula (t) Resection of a lobe or segment of the lung (e.g., lobectomy or segmental resection of lung). Does not include simple biopsy of lung nodule in which surrounding lung is not resected, biopsy of a thoracic lymph node, or excision or stapling of an emphysematous bleb. (u) Pleural decortication (v) Mastectomy for breast cancer (not simple breast biopsy) (w) Amputation of any part of an extremity (e.g., foot or toe) (x) Resection of LV aneurysm (y) Ventricular Assist Devise (VAD) as bridge to transplant (z) Septal myectomy with hypertrophic obstructive cardiomyopathy (aa) Full open MAZE (ii) Type of CABG should be coded CABG + Valve if none of the procedures listed in this subsection were performed concurrently with a CABG that included aortic valve replacement (AVR), mitral valve replacement (MVR), mitral valve repair (MV repair), or AVR+MVR/MV repair. (a) Pulmonic Valve Procedure (b) Tricuspid Valve Procedure (c) Ventriculectomy when diagnosed preoperatively as a rupture, aneurysm or remodeling procedure. Excludes 1) sites intra-operatively diagnose, 2) patch application for site oozing discovered during surgery, and 3) prophylactic patch applications to reduce chances of future rupture (d) Repair of atrial and ventricular septa, excluding closure of patent foramen ovale (e) Excision of aneurysm of heart (f) Head and neck intracranial endarterectomy (g) Other open heart surgeries such as aortic arch repair, pulmonary endarterectomy (h) Endarterectomy of aorta (i) Thoracic endarterectomy (endarterectomy on an artery outside the heart) (j) Carotid endarterectomy (k) Resection of LV aneurysm (l) Heart transplantation (m) Repair of congenital cardiac anomalies such as tetraology of fallot, atrial septal defect (ASD), ventricular septal defect (VSD), or other complex anomaly (n) Any aortic aneurysm repair (abdominal or thoracic) (o) Repair of aortic dissection Page 3 of 24 California CABG Outcomes Reporting Program Data Element Specifications Version 7.1, dated May 5, 2019 (p) Aorta-subclavian-carotid-bypass (q) Aorta-renal bypass (r) Aorta-iliac-femoral bypass (s) Caval-pulmonary artery anastomosis (t) Extracranial-intracranial (EC-IC) vascular bypass (u) Coronary artery fistula (v) Resection of a lobe or segment of the lung (e.g., lobectomy or segmental resection of lung). Does not include simple biopsy of lung nodule in which surrounding lung is not resected, biopsy of a thoracic lymph node or excision or stapling of an emphysematous bleb (w) Pleural Decortication (x) Mastectomy for breast cancer (not simple breast biopsy) (y) Amputation of any extremity (e.g., foot or toe) (z) Resection of LV aneurysm (aa) Ventricular Assist Devise (VAD) as a bridge to transplant (bb) Infundibulectomy (cc) Septal myectomy with hypertrophic obstructive cardiomyopathy (dd) Full Open MAZE for Aortic Valve cases only (epicardial MAZE procedures are not excluded and Full Open procedures are not excluded for Mitral Valve) (iii) Type of CABG should be coded Other Non-isolated CABG if case is not included in Isolated CABG or CABG + Valve (3) Date of Surgery: (A) Format: Numeric, length 8 (B) Valid Values: mmddyyyy (C) Category: Hospitalization (D) Definition/Description: Indicate the date of index cardiac surgical procedure. Index cardiac surgical procedure is defined as the initial major cardiac surgical procedure of the hospitalization. (4) Date of Birth: (A) Format: Numeric, length 8 (B) Valid Values: mmddyyyy (C) Category: Demographics (D) Definition/Description: Indicate the patient's date of birth using 4-digit format for year. (5) Patient Age: (A) Format: Numeric, length 3 (B) Valid Values: 18 - 110 (C) Category: Demographics (D) Definition/Description: Indicate the patient's age in years, at time of surgery. Page 4 of 24 California CABG Outcomes Reporting Program Data Element Specifications Version 7.1, dated May 5, 2019 This should be calculated from the date of birth and the date of surgery, according to the convention used in the USA (the number of birthdate anniversaries reached by the date of surgery). (6) Sex: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Male; 2 = Female (C) Category: Demographics (D) Definition/Description: Indicate the patient's sex at birth as either male or female. (7) Race Documented: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No; 3 = Patient declined to disclose (C) Category: Demographics (D) Definition/Description: Indicate whether the race is documented. (8) Race - White: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No (C) Category: Demographics (D) Definition/Description: Indicate whether the patient's race, as determined by the patient or family, includes White. "White" refers to a person having origins in any of the original peoples of Europe, the Middle East, or North Africa. It includes people who indicated their race(s) as "White" or reported entries such as Irish, German, Italian, Lebanese, Arab, Moroccan, or Caucasian. (9) Race - Black/African American: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No (C) Category: Demographics (D) Definition/Description: Indicate whether the patient's race, as determined by the patient or family, includes Black / African American. "Black or African American" refers to a person having origins in any of the Black racial groups of Africa. It includes people who indicated their race(s) as "Black, African Am., or Negro" or reported entries such as African American, Kenyan, Nigerian, or Haitian. (10) Race - Asian: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No (C) Category: Demographics (D) Definition/Description: Indicate whether the patient's race, as determined by the patient or family, includes Asian. "Asian" refers to a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. It includes Page 5 of 24 California CABG Outcomes Reporting Program Data Element Specifications Version 7.1, dated May 5, 2019 people who indicated their race(s) as "Asian" or reported entries such as "Asian Indian", "Chinese", "Filipino", "Korean" Japanese", "Vietnamese", and "Other Asian" or provided other detailed Asian responses. (11) Race - American Indian/Alaskan Native: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No (C) Category: Demographics (D) Definition/Description: Indicate whether the patient's race, as determined by the patient or family, includes American Indian / Alaskan Native. "American Indian or Alaska Native" refers to a person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment. This category includes people who indicated their race(s) as "American Indian or Alaska Native" or reported their enrolled or principal tribe, such as Navajo, Blackfeet, Inupiat, Yup’ik, or Central American Indian groups or South American Indian groups. (12) Race - Native Hawaiian/Pacific Islander: (A) Format: Numeric, length 1 (B) Valid Values: 1 = Yes; 2 = No (C) Category: Demographics (D) Definition/Description: Indicate whether the patient's race, as
Recommended publications
  • And Its Obstructive Form, Idiopathic Hypertrophic Subaortic Stenosis (IHSS), in Pediatrics
    Asymmetric septal hypertrophy (ASH) and its obstructive form, idiopathic hypertrophic subaortic stenosis (IHSS), in pediatrics ALBERT K. HARVEY, DD. Oklahoma City, Oklahoma IHSS. The father had no siblings, but two uncles had Although idiopathic hypertrophic died suddenly of heart disease at early ages. subaortic stenosis usually occurs in Case 1 adults, the possibility of its presence in children must not be overlooked. It An 18-year-old white girl said she had not experienced dyspnea, exercise intolerance, syncope, or chest pain. She has been reported even as early as was a senior in high school and had participated in dra- infancy and in stillborn fetuses. The matic and athletic activities. Physical examination condition appears to be genetically showed the pulse rate to be 74 and the blood pressure transmitted, with the natural history 110/64 mm. Hg. Pulses on the upper and lower ex- one of progressive disease. The tremities were strong and symmetric. The point of atypical location of an aortic stenosis maximum intensity (PMI) was not enlarged, and no type murmur is a clue to early thrill or precordial heave was perceptible. There was a diagnosis. Echocardiography is Grade 2/6 harsh systolic ejection murmur along the lower confirmative of a diagnosis. Four case left sternal border, which was transmitted well to the reports are presented. apex. No diastolic component was present. The phono- cardiogram showed an intermittent fourth heart sound. An x-ray film of the chest showed the heart size and vascularity of the lung field to be normal. An elec- trocardiogram (EKG) revealed left ventricular hyper- trophy with marked ST and T wave changes in the left precordial leads.
    [Show full text]
  • Heart & Vascular Institute
    Sydell and Arnold Miller Family Heart & Vascular Institute 9500 Euclid Avenue, Cleveland, OH 44195 ClevelandClinic.org 2016 Outcomes 17-OUT-413 108369_CCFBCH_Cov_acg.indd 1 8/31/17 12:22 PM Measuring Outcomes Promotes Quality Improvement This project would not have been possible without the commitment and expertise of a team led by Umesh Khot, MD; Mouin Abdallah, MD; Sandra Hays; and Jagina McIntyre. Graphic design and photography were provided by Brian Kohlbacher and Cleveland Clinic’s Center for Medical Art and Photography. © The Cleveland Clinic Foundation 2017 108369_CCFBCH_Cov_acg.indd 2 9/19/17 10:57 AM Measuring and understanding outcomes of medical treatments promotes quality improvement. Cleveland Clinic has created a series of Outcomes books similar to this one for its clinical institutes. Designed for a physician audience, the Outcomes books contain a summary of many of our surgical and medical treatments, with a focus on outcomes data and a review of new technologies and innovations. The Outcomes books are not a comprehensive analysis of all treatments provided at Cleveland Clinic, and omission of a particular treatment does not necessarily mean we do not offer that treatment. When there are no recognized clinical outcome measures for a specific treatment, we may report process measures associated with improved outcomes. When process measures are unavailable, we may report volume measures; a relationship has been demonstrated between volume and improved outcomes for many treatments, particularly those involving surgical and
    [Show full text]
  • Surgical Septal Myectomy Outcome for Obstructive Hypertrophic Cardiomyopathy After Alcohol Septal Ablation
    1065 Original Article Surgical septal myectomy outcome for obstructive hypertrophic cardiomyopathy after alcohol septal ablation Qiulan Yang1^, Changsheng Zhu1, Hao Cui2, Bing Tang3, Shengwei Wang3, Qinjun Yu4, Shihua Zhao5, Yunhu Song1, Shuiyun Wang1 1Department of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; 2Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MI, USA; 3Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University & Beijing Institute of Heart, Beijing, China; 4Department of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; 5Department of Magnetic Resonance Imaging, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China Contributions: (I) Conception and design: S Wang; (II) Administrative support: C Zhu, H Cui, B Tang, S Wang, S Zhao; (III) Provision of study materials or patients: C Zhu; (IV) Collection and assembly of data: Q Yang; (V) Data analysis and interpretation: C Zhu, H Cui, B Tang, S Wang, S Zhao; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Shuiyun Wang. Department of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beilishi Road 167, Xicheng District, Beijing 100037, China. Email: [email protected]. Background: Although surgical treatment of residual obstruction after alcohol septal ablation (ASA) is often challenging in patients with obstructive hypertrophic cardiomyopathy (OHCM) there are very few relevant clinical reports. Thus, outcomes of surgical septal myectomy (SSM) in this subgroup of patients remain to be determined.
    [Show full text]
  • Asymmetric Septal Hypertrophy in Patients with Aortic Stenosis: an Adaptive Mechanism Or a Coexistence of Hypertrophic Cardiomyopathy?
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE J AM cou,providedCARDIOl by Elsevier - Publisher783 Connector 1983.1(3)783-9 Asymmetric Septal Hypertrophy in Patients With Aortic Stenosis: An Adaptive Mechanism or a Coexistence of Hypertrophic Cardiomyopathy? OTTO M. HESS, MD, JAKOB SCHNEIDER, MD, MARCO TURINA, MD, JOHN D. CARROLL, MD, FACC, MARTIN ROTHLIN, MD, HANS P. KRAYENBUEHL, MD Zurich, Switzerland Myocardial histologic features andventricular left dy• 1 and 2 (26.5 versus 29.1IJ.; NS), but muscle fiber di• namics were assessed in 24 patients with severe aorticameter of the septum in group 1 was significantlysmaller stenosis, 12 with (group 1) and 12 without (group(24.4 2) IJ.; P < 0.01) than that ofanterolateral the wall in associated asymmetric septalhypertrophy.In 10patients group 2. No morphologic abnormalities typical for hy• from group 1,echocardiographyshowed a septal/pos• pertrophic cardiomyopathy (fiberdisarray)were seen in teriorwall ratio of 1.5; in the other 2, asymmetric septalsamples from the patients in either group. By 18 months hypertrophywas diagnosed by direct inspection at thepostoperatively, septal wall thickness had decreased sig• time of surgery. Septal myectomy in all 12 patientsnificantly in from 2.0 to 1.5 em< (p0.01) and posterior group 1 was completed at the time of aortic valvewall re• thickness from 1.4 to 1.2 cm< (p0.05) in group 1. In group 2, septal wall thickness decreased from 1.5 placement. Septal histologicfeatures were assessedfrom to 1.3 em (NS) and posterior wall thickness from 1.4 to surgical specimens in 10 patients in groupTransseptal 1.
    [Show full text]
  • Septal Myectomy for Obstructive Hypertrophic Cardiomyopathy Joseph A
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector Septal Myectomy for Obstructive Hypertrophic Cardiomyopathy Joseph A. Dearani, MD, and Gordon K. Danielson, MD ransaortic septal myectomy is currently considered to tion of the LVOT gradient is important so that a compar- Tbe the most appropriate surgical treatment for pa- ison can be made with postmyectomy measurements. tients with obstructive hypertrophic cardiomyopathy Standard cardiopulmonary bypass with mild to moderate (HCM) and severe symptoms unresponsive to medical hypothermia (30-34°C) is used and the left heart is vented therapy.1-18 However, there is a significant learning curve with a catheter inserted through the right superior pulmo- for this procedure, and early surgical experience was as- nary vein. Myocardial protection, especially important be- sociated with complications of complete heart block, ven- cause of the severe ventricular hypertrophy, is begun with tricular septal defect, injury to the aortic or mitral valves, a generous infusion of cold blood cardioplegia (800-1000 and incomplete relief of obstruction. Current surgical re- mL) into the aortic root followed by additional doses given sults are vastly improved, although the reported experi- selectively into the left and right coronary ostia every 20 ence in North America is limited to a few centers. minutes. For more complex and lengthy procedures, top- ical cooling with ice-cold saline is applied, and an insulat- Surgical Technique ing pad is placed behind the left ventricle. After the extended left ventricular septal myectomy is Over the last three decades, our technique of septal myec- performed, the resected area can be deepened with a ron- tomy has evolved from the classic Morrow myectomy (Fig geur.
    [Show full text]
  • Targeting Alcohol Septal Ablation in Patients with Obstructive
    Journal of Clinical Medicine Article Targeting Alcohol Septal Ablation in Patients with Obstructive Hypertrophic Cardiomyopathy Candidates for Surgical Myectomy: Added Value of Three-Dimensional Intracoronary Myocardial Contrast Echocardiography Giovanni La Canna 1,*, Iside Scarfò 1, Irina Arendar 1, Antonio Colombo 2, Lucia Torracca 3, Davide Margonato 4, Matteo Montorfano 4 and Ottavio Alfieri 5 1 Applied Diagnostic Echocardiography Unit, IRCCS Humanitas Clinical and Research Center, 20089 Rozzano, Italy; [email protected] (I.S.); [email protected] (I.A.) 2 Interventional Cardiology Unit, IRCCS Humanitas Clinical and Research Center, 20089 Rozzano, Italy; [email protected] 3 Cardiac Surgery, IRCCS Humanitas Clinical and Research Center, 20089 Rozzano, Italy; [email protected] 4 Interventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy; [email protected] (D.M.); [email protected] (M.M.) 5 Cardiac Surgery Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy; ottavio.alfi[email protected] * Correspondence: [email protected]; Tel.: +39-33-5674-4319 Citation: La Canna, G.; Scarfò, I.; Abstract: Background: Myocardial contrast two-dimensional echocardiography (MC-2DE) is widely Arendar, I.; Colombo, A.; Torracca, L.; Margonato, D.; Montorfano, M.; used to address alcohol septal ablation (ASA) in obstructive hypertrophic cardiomyopathy (HCM). Alfieri, O. Targeting Alcohol Septal Owing to its limited cut-planes, MC-2DE may inaccurately identify the contrast misplacement Ablation in Patients with Obstructive associated with an unsuccessful or complicated ASA outcome. Objective: The aim of this study Hypertrophic Cardiomyopathy was to assess the added value of myocardial contrast three-dimensional echocardiography (MC- Candidates for Surgical Myectomy: 3DE) compared with MC-2DE to identify the appropriate matching between the target septal zone Added Value of Three-Dimensional (TSZ) and coronary artery branch for safe and long-term effective ASA in HCM patients.
    [Show full text]
  • Hypertrophic Cardiomyopathy 2011 Pocket Guide
    ACCF/AHA Pocket Guideline Adapted from the 2011 ACCF/AHA Guideline for the Diagnosis and Treatment of Hypertrophic Cardiomyopathy November 2011 Developed in Collaboration With the American Association for Thoracic Surgery, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons © 2011 by the American College of Cardiology Foundation and the American Heart Association, Inc. The following material was adapted from the 2011 ACCF/AHA Guidelines for the Diagnosis and Treatment of Hypertrophic Cardiomyopathy (J Am Coll Cardiol 2011;XX:XX–XX). This pocket guideline is available on the World Wide Web sites of the American College of Cardiology (www.cardiosource. org) and the American Heart Association (my.americanheart.org). For copies of this document, please contact Elsevier Inc. Reprint Department, e-mail: [email protected]; phone: 212-633-3813; fax: 212-633-3820. Permissions: Multiple copies, modification, alteration, enhancement, and/ ordistribution of this document are not permitted without the express permission of the American College of Cardiology Foundation. Please contact Elsevier’s permission department at [email protected]. Contents 1. Introduction .........................................................................................3 2. Clinical Definition ................................................................................6 3. Genetic
    [Show full text]
  • Newyork-Presbyterian 2017 Outcomes and Quality Report in Cardiovascular Services
    NewYork-Presbyterian Cardiovascular Services 2017 Outcomes and Quality Report NewYork-Presbyterian Cardiology and Heart Surgery ranks #3 in the nation. NewYork-Presbyterian Cardiovascular Services 2017 Outcomes and Quality Report Welcome 1 Measures of Distinction 2 Innovations at a Glance 3 Complex Cardiac Care Adult Congenital Heart Disease 4 Advanced Heart Failure 6 Arrhythmias 10 Coronary Artery Disease 12 Hypertrophic Cardiomyopathy 15 Pulmonary Hypertension 16 Valve Disease 18 Aortic Disease 23 NewYork-Presbyterian Today 26 3D fl uorescence deconvolution micrograph of stacked images showing adrenergic receptors (red) clustered around the nucleus of a myofi bril in the heart tissue of a heart failure patient For More Information nyp.org/amazingadvances Welcome Dear Colleague: We are pleased to bring you our 2017 Outcomes and Quality Report in Cardiovascular Services. The strength of our cardiology, interventional cardiology, and cardiac surgery programs is derived from the exceptional clinical, scientic, and educational resources made possible by the partnership of NewYork-Presbyterian, Columbia University Medical Center, and Weill Cornell Medicine. These programs are among the largest and most comprehensive in the nation, bringing together faculty that have made transformative contributions to their specialties – from adult congenital heart disease to advanced heart failure and complex valve disease. Our patients benet from exceptional heart teams, whose multispecialty members provide Dr. Steven J. Corwin collaborative and integrated care that optimizes their outcomes. Our physicians treat the most challenging cases, applying expertise that crosses and often combines the skills of cardiologists, interventionalists, and surgeons to meet the unique needs of each patient. This collegiality is a hallmark of our cardiology and heart surgery programs and a key factor in being ranked #1 in New York State for the past 17 years and #3 in the nation since 2013 by U.S.News & World Report.
    [Show full text]
  • Cardiology & Heart Surgery
    Cardiology & Heart Surgery 2018 Year in Review CAMPUS TRANSFORMATION CARDIOLOGY & HEART SURGERY In 2018, NYU Langone Health opened a new, 830,000-square-foot inpatient facility, the Helen L. and Martin S. Kimmel Pavilion, NYU Langone Health’s featuring 374 exclusively single-bedded rooms, an outdoor terrace, and 30 $40M cardiovascular programs are operating rooms and image-guided labs. IN NIH FUNDING among the top-ranked in the (Photo credit: Jeff Goldberg) nation, and we always strive to reach the next level of excellence in clinical care, 300 + education, and research. SCIENTIFIC PUBLICATIONS In 2018 our Heart Transplant Program achieved the fastest transplant rate in the region and we became the first in New York State to achieve the Adult Congenital 35 Heart Association’s highest level of accreditation. We HEART TRANSPLANTS PERFORMED pioneered new surgical and endovascular techniques for complex conditions, and led clinical trials for novel devices and medications. Our goal, as always, was to improve outcomes not only for our patients, but for patients everywhere. First and Only The opening of the Kimmel Pavilion offers new IN NEW YORK STATE surgical space in state-of-the-art operating rooms, to be accredited by the Adult Congenital Heart and our brand-new Science Building includes nearly Association (ACHA) as an Adult Congenital Heart Disease Comprehensive Care Center 110 benches of basic science lab space used by our cardiology research team to advance the science of heart disease treatment. We are proud to share the highlights of the past year’s work. 141 ACTIVE CLINICAL TRIALS Statistics reflect 2018 figures We leverage the strength and expertise Advancing Minimally Invasive Approaches of multidisciplinary specialists as we select the appropriate treatment to Valve Repair and Replacement NEW MILESTONE IN TRANSCATHETER VALVE PROCEDURES for each patient.” Transcatheter replacement of aortic and mitral valves took a significant step forward this year through the Heart Valve —Aubrey Galloway, MD Center’s participation in more than a dozen clinical trials.
    [Show full text]
  • Heart Institute Annual Report 2021 (PDF)
    2021 ANNUAL REPORT HEART 02 Welcome 04 Advanced Heart Failure 06 Coronary Artery Disease 08 Congenital Heart Disease 10 Valvular Heart Disease 12 Electrophysiology 14 Health Equity 16 Aortic Disease 18 Metrics 26 Directory About the Art The artwork in this report stems from a collaboration between Seattle-based artist Kanako Abe and Joanna Chikwe, MD, chair of the Department of Cardiac Surgery at Cedars-Sinai, who illustrates her own textbooks. Abe creates hand-cut, intricate paper pieces, using the Japanese art of Ise katagami—a traditional technique employed to create patterns on kimono fabric. Abe used Ise katagami cutting tools, similar to a surgical scalpel, to create these images on paper, which all include symbols of cardiovascular care. “Our program is one of the most successful and innovative in the U.S because of our unique expertise in state-of-the-art care across the entire spectrum of cardiovascular disease.” Joanna Chikwe, MD Irina and George Schaeffer Distinguished Chair in Cardiac Surgery in honor of Alfredo Trento, MD, Chair of the Department of Cardiac Surgery and Professor of Cardiac Surgery “With the incredible breadth of expertise at the Smidt Heart Institute, we are not only developing new technologies to treat disease, we are also advancing the science of population health so we can predict who is at risk and do more to prevent disease in our most vulnerable populations.” Christine M. Albert, MD, MPH Lee and Harold Kapelovitz Distinguished Chair in Cardiology, Chair of the Department of Cardiology and Professor of Cardiology 2 Smidt Heart Institute | cedars-sinai.org/heart Dear Colleague, It is with considerable pride that I share our annual report for 2021.
    [Show full text]
  • Echocardiographic Findings Late After Myectomy in Hypertrophic Obstructive Cardiomyopathy
    Zurich Open Repository and Archive University of Zurich Main Library Strickhofstrasse 39 CH-8057 Zurich www.zora.uzh.ch Year: 1986 Echocardiographic findings late after myectomy in hypertrophic obstructive cardiomyopathy Turina, J ; Jenni, R ; Krayenbuehl, H P ; Turina, M ; Rothlin, M Abstract: Postoperative echocardiograms of 50 patients undergoing myectomy for hypertrophic obstruc- tive cardiomyopathy between 1965 and 1982 have been evaluated. In 21 patients a comparison with preoperative echocardiograms showed that postoperatively there was a significant reduction of septal and free wall thickness, an increase of left ventricular end-diastolic as well as outflow tract dimensions and a reduction or disappearance of systolic anterior motion of the mitral leaflet. Postoperative examination at intervals > 3 years revealed a significant increase of left ventricular and left atrial cavity size with unchanged contractile parameters and little reduction of left ventricular hypertrophy. In 4of 12 patients evaluated > 8 years after myectomy, left ventricular dilatation was observed and 3 of these 4 patients developed congestive heart failure. Development of leftventricular dilatation was independent of whether a transventricular and/or transaortic approach was used for myectomy. These data indicate that the late course after myectomy in hypertrophic obstructive cardiomyopathy may be complicated by dilatation of the left ventricular cavity DOI: https://doi.org/10.1093/oxfordjournals.eurheartj.a062123 Posted at the Zurich Open Repository and Archive, University of Zurich ZORA URL: https://doi.org/10.5167/uzh-154113 Journal Article Published Version Originally published at: Turina, J; Jenni, R; Krayenbuehl, H P; Turina, M; Rothlin, M (1986). Echocardiographic findings late after myectomy in hypertrophic obstructive cardiomyopathy.
    [Show full text]
  • Advance Program
    STS 54th Annual Meeting Advance Program Greater Fort Lauderdale/ January 27-31, 2018 Broward County Convention Center Florida President’s Message I invite you to join me and thousands of our colleagues from around the world at the STS 54th Annual Meeting, January 27–31, 2018, in Fort Lauderdale, Florida. The STS Annual Meeting is the epicenter of the On Tuesday, don’t miss the exciting keynotes; details Don’t Miss Tech-Con latest technology, research, and clinical practice in are forthcoming. And don’t forget to register for Prior to the Annual Meeting, cardiothoracic surgery. This year’s meeting will have the popular hands-on STS University courses on STS/AATS Tech-Con will focus on new devices new formats, lively discussions, and interactions Wednesday; new courses have been added on and procedures that have in every discipline of our specialty. It also will fit all peroral endoscopic myotomy and minimally invasive yet to be FDA-approved learning styles. Educational sessions will mix debates aortic and mitral valve surgery. but could be available and surgical videos with the very best scientific within 1-3 years from the Access to the STS 54th Annual Meeting Online research abstracts. time of presentation. A will once again be included with Annual Meeting highlight of the day will be On Sunday, three “How To” sessions will feature registration—a bonus that will let you review the the Shark Tank session, video presentations on common cardiothoracic outstanding educational content from your home in which entrepreneurs will pitch their innovative surgical procedures, with speakers Tweet about the or office throughout the next year.
    [Show full text]